Thomas Wayne Davis in Oklahoma City - Addiction Medicine
Thomas Wayne Davis - NPI 1962601005
Thomas Wayne Davis is a Addiction Medicine in Oklahoma City, Oklahoma. Thomas Wayne Davis practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Thomas Wayne Davis is 1962601005. The last update date is 2007-07-17.
Thomas Wayne Davis's current location address is 2129 Sw 59th St, Oklahoma City, Oklahoma. You can contact this provider via phone number 4057135779 and fax number 4046818085. The mailing address for Thomas Wayne Davis is 2129 Sw 59th St, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Wayne Davis |
|---|---|
| Address | 2129 Sw 59th St, Oklahoma City, Oklahoma |
| Phone Number | 4057135779 |
| Fax Number | 4046818085 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1962601005 |
|---|---|
| Provider Enumeration Date | 2007-07-17 |
| Last Updated Date | 2007-07-17 |
Provider Mailing Address Detail
| Address | 2129 Sw 59th St |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731197024 |
| Phone Number | 4057135779 |
| Fax Number | 4046818085 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Ra0401X |
| Licence No | 10683 |
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Definition: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification |
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What is the unique identifier code issued to Thomas Wayne Davis by the Centers for Medicare & Medicaid Services?
The Thomas Wayne Davis has been assigned the NPI (National Provider Identifier) 1962601005. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Thomas Wayne Davis?
The Thomas Wayne Davis is situated at 2129 Sw 59Th St, in the city of Oklahoma City, state of OK, with the zip code 731197024.
What is Thomas Wayne Davis's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Thomas Wayne Davis is Addiction Medicine, and the taxonomy code that classifies this field of practice is 207Ra0401X.
On what date was the 1962601005 assigned to Thomas Wayne Davis?
The Thomas Wayne Davis was issued its 1962601005 on 2007-07-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Thomas Wayne Davis, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Thomas Wayne Davis, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-17.
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